Provider Demographics
NPI:1194734822
Name:KAREN M DUNEGAN DMD PC
Entity type:Organization
Organization Name:KAREN M DUNEGAN DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUNEGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-349-1234
Mailing Address - Street 1:10 N HILL DR
Mailing Address - Street 2:#1-1B
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186
Mailing Address - Country:US
Mailing Address - Phone:540-349-1234
Mailing Address - Fax:540-347-5027
Practice Address - Street 1:10 N HILL DR
Practice Address - Street 2:#1-1B
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186
Practice Address - Country:US
Practice Address - Phone:540-349-1234
Practice Address - Fax:540-347-5027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010075711223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty